Vì sao công tác mua sắm và bảo trì thiết bị y tế lại khó khăn ?
Hiện nay, nhiều trưởng phòng quản lý bảo trì vật tư, trang thiết bị y tế của nhiều bệnh viện ở TPHCM mang tâm trạng lo lắng, hoang mang với công việc “rất nhạy cảm” được giao.
Trong Chương trình “Lắng nghe và trao đổi với nhân viên y tế” của Sở Y tế TPHCM chiều ngày 9/6, lãnh đạo sở đã gặp gỡ các nhân viên chuyên trách trong công tác mua sắm bảo trì vật tư, trang thiết bị y tế của các bệnh viện công lập trên địa bàn.
Qua trao đổi, Sở Y tế nhận định, một trạng thái tâm lý phổ biến nhất hiện nay của các trưởng phòng vật tư, trang thiết bị y tế ở các bệnh viện là lo lắng, thậm chí hoang mang với công việc được giao.
Các cán bộ phụ trách cung ứng vật tư y tế, mua sắm và bảo trì các trang thiết bị đều đứng giữa 2 yêu cầu chính đáng nhưng luôn đối nghịch nhau. Một mặt, phải lắng nghe và đáp ứng yêu cầu chuyên môn về việc có những vật tư, thiết bị y tế tốt nhất cho công tác chẩn đoán, điều trị và chăm sóc bệnh nhân. Nhưng mặt khác, phải tuân thủ yêu cầu của ban giám đốc bệnh viện, phải giải trình với các đoàn kiểm toán, thanh tra về xây dựng giá dự toán khi đấu thầu mua sắm, bảo trì để đảm bảo giá mua phải là giá thấp nhất.
Theo Sở Y tế, hành lang pháp lý, cụ thể là các thông tư hướng dẫn cho công tác này chưa thật sự đáp ứng các tình huống đa dạng, các yêu cầu từ thực tiễn. Do đó, tất cả cán bộ y tế chuyên trách hoạt động mua sắm, cung ứng, bảo trì trang thiết bị, vật tư y tế đều mong muốn sớm có những quy định pháp lý mới, giống như lĩnh vực mua sắm thuốc.
Trưởng phòng quản lý vật tư, trang thiết bị y tế của một bệnh viện chia sẻ, bản thân là bác sĩ, nếu được chọn vẫn thích làm chuyên môn hơn là công việc hiện tại. Nhưng vì trách nhiệm, chấp hành phân công của đơn vị nên bác sĩ này cùng các đồng nghiệp phải cố gắng hết sức làm sao để đúng quy định.
“Công việc hiện rất áp lực, đòi hỏi tôi phải đầu tư nhiều thời gian, kiểm tra, thẩm định hồ sơ thật kỹ… Mặc dù đã nghiên cứu kỹ, kiểm tra kỹ, nhưng thật sự tôi luôn lo lắng sợ sai mà không biết vì các hướng dẫn chưa bao phủ hết các tình huống trong thực tế…” – vị bác sĩ nói.
Sau khi lắng nghe tâm tư của các y bác sĩ, Sở Y tế TPHCM cho biết trong thời gian tới sẽ triển khai thực hiện các giải pháp nhằm tiếp tục đồng hành, tiếp sức cho các cơ sở y tế công lập tham gia công tác mua sắm và bảo trì các thiết bị, vật tư y tế.
Cụ thể, Sở sẽ tiếp tục kiến nghị Bộ Y tế và các Bộ, Ngành liên quan sớm ban hành các văn bản hướng dẫn chi tiết, cụ thể về quy trình xây dựng danh mục, cách lập dự toán, xây dựng cấu hình… để tạo hành lang pháp lý vững chắc, hạn chế tình trạng sai phạm trong công tác đấu thầu, mua sắm.
Sở cũng tham mưu trình UBND TPHCM đề án thành lập Trung tâm mua sắm tập trung. Trong đó, danh mục hàng hóa mua sắm tập trung thực hiện theo lộ trình thời gian vừa để hoàn thiện cơ chế về bảo trì thiết bị và mua sắm mới vừa đảm bảo không làm gián đoạn cung ứng thuốc, trang thiết bị, vật tư y tế phục vụ công tác khám, chữa bệnh.
Song song đó, Sở Y tế cũng xây dựng cơ cấu nhân lực với trình độ chuyên môn vừa đáp ứng nhu cầu chuyên môn, vừa đáp ứng yêu cầu tuân thủ các quy định pháp luật. Tăng cường công tác đào tạo, bồi dưỡng các kiến thức liên quan đến công tác đấu thầu, bảo dưỡng, mua sắm tại các cơ sở y tế công lập.
After that, the monkey king was trapped, We also lured the demon monkey out of the demon monkey cave, and the spirit monkey took advantage of the chaos and entered the cave to steal a jar of spirit wine.Qin Ruyan didn t look at Qingyang anymore, but turned around and continued walking inside, as if Qingyang was really a stranger.
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The root went deep into the blood pool, and there were two yellow lotus leaves and a lotus pod growing on it.The woman quickly turned around https://tannoorgrill.com/trending/en-2025s-ultimate-guide-how-to-lose-950yumo-weight-with-apple-cider-vinegar-in-10-easy-steps-wyj1/
and said, Ah, Senior Wusi, I
I didn t mean that. I just tried to dissuade him. I hope he won t do it again. It disturbs my junior sister s practice
Elder Wusi stopped listening to the other party s nagging and scolded, I, the Qingfeng Palace disciples, don t need to be taught a lesson by you Yin Yang Sect people.
it is said that it is natural to repay debts, Tian Shengcai borrowed their spiritual stones, and it is natural to be called for debts, and no one s spiritual stones were blown by the strong wind.No wonder during these two reunions, Brother Qingyang only talked about family ties and nothing else.
They are nearly sixty years old and are still in the early stages of Qi refining.And Master Lingxu and others not only defeated these wooden puppets, but also seemed to https://tannoorgrill.com/faq/en-transforming-fitness-in-2025-when-to-take-apple-cider-vinegar-gummies-insights-6umc-from-200-weight-loss-success-stories-ovtu/
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At the critical moment, Fei Yusheng used all his strength to break free from the restraints, dodge out of the battle circle, extinguish the flames on his wings, and at the same time avoid the attack of Xiyue Zhenren s Biyuxiao.It took Qingyang a day to finally reach the valley where they had set up the formation.
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Thinking of this, Qingyang stood up from his hiding place and walked towards the battlefield in front, which was only a few dozen feet away from the battlefield.Not to mention the flying monsters, the Gale Wolf and the Gray Bearded Rat can also use their strength to jump into the air and stay in the sky for a short time.
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Zeng Shuisheng said. As a monk in the late stage of Qi Refining, he was so timid and fearful.He has seen the power of the Qing Yang Three Yuan Sword Formation before and has always been on guard.
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Even if they just leave some breath, ordinary low level monsters will have to take a detour if they feel it.Those who can practice all the way to the https://tannoorgrill.com/features/gummy-cbd-8iayqw83t-thc-d5nz/
later stage of Foundation Establishment were all extremely talented and beautiful people at the beginning.
He was very confident in his wooing. So when Qingyang said these words, his face suddenly turned cold.However, what happened was too sudden, and the wind behind him was so fast that he had no time to think about it.
The rest of the place is bare. Apart from the stones, not even a root of grass grows.Although many people didn t like Qin Ruyan and were worried about losing their lives when facing the one eyed dragon, they couldn t just leave Qin Ruyan alone, so this risk had to be taken.
Three purple backed alcoholic bees lined up in a row, facing the one eyed dragon Leng Yu.Some monks will capture contemporary spirit beasts, such as the Yuling Sect, which is good at raising monsters.
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in the place where Master Tao s accident happened.
In the end, it suddenly burst open and turned into fragments on the ground.Just one foundation building pill The value https://tannoorgrill.com/topics/what-cbd-gummies-are-best-for-arthritis-ie4g-o9rn1/
of the pill is more than thousands or even tens of thousands of spirit stones.
There is no immediate concern for their lives. At this point, Qingyang calmed down and waited for the living dead to relax before seeing if he could find a chance to escape.
Click on the properties panel and select Training. System prompt Do you want to spend 88,200,000 gold coins to train 9,000 units of third Finding Relief with Indica Gummies for Sleep Reddit: A Comprehensive Guide (DiJiR)
level archers into eighth level phantom archers Yes The gold coins will be deducted directly.Then there are six golden dragons. Useful in both ground and air combat.
It is incorrect to say that there is a trail, it should be said that it is a gap between the cliffs.Now waiting for the other party to come and join together, in addition to reminding the other party of his reward, is also a hug.
Seeing this, she could only give up her interception plan and focus on Musso again.Who would dare to rebel under such a threat. Of course, the other party would not dare to abuse this permission.
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If supplies are lost, the underground army will not be able to protect itself, let alone continue to attack the Shenmu Castle.The army rushed forward with Freya as an arrow, preparing to execute a beheading tactic.
I don t know when he made preparations. After looking at each other for a moment, several people nodded at the same time.As long as there are enough sacrifices, a strong person can be created quickly.
The green dragon was no match for him, and with his injury for life tactic, he suppressed the female green dragon in one confrontation.Will another one inherit
Mia murmured to herself, becoming more and more sure of Zhao Hao s identity as a prophet.
After Nico completed the blank hull, he almost fell to the ground.The reason for saying no is that under the guidance of the Coral Witch, it can continuously absorb the surrounding seawater and join the tide, maintaining its original scale.
Whizzing Kill a child with one stone The sixth level royal griffon s health value is less than a thousand.After all, even Bai Ze can refine powerful magic potions.
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The phantom shooters who climbed onto the city wall finally no longer needed to conceal their numbers, let alone their range.Besides, there is no money. So he thought of a person, Centurion Li Xiaokun.
After hearing what the other party said, Zhao Hao looked at the other party blankly.But there is no way. Not only does the archangel have a one handed shield, but he is also small in size and highly mobile.
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you get that artifact and upgrade your spiritualism to the master level, Anroth, the legendary hero, will instantly become a strategic weapon.As for how to make up for the loss, he didn t ask, and Zhao Hao didn t say anything either.
Since the gold coins are intended to be used on the https://tannoorgrill.com/trending/the-benefits-and-effectiveness-su4r0w-of-cbd-gummy-bites-for-overall-wellness-fjtpr-gg56/
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Several guilds, even non Xia Guilds, are seriously thinking about why he said this.
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If Yinxu Zhenren is the number one cultivator in Kyushu Continent, then Huangming Zhenren is the number one female cultivator in Kyushu Continent.Now he has finally found a clue, so of course he must hold THC with CBD Gummies: Benefits, Risks, and Guide to Choosing the Best
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because of Wei Yufeng s matter.
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He obviously has such strong strength but attacks by sneak attack.The huge sound shocked Tao Yougong opposite him. Chen Biwang grabbed it.
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I personally went to the Liang family to retrieve this place.The sound was loud and the light was radiating. The previous scene happened again.
He killed the Gale Wolf King with one move, and then joined forces to kill him.Those who cannot reach it will not be able to escape the category of mortals.
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everyone.If they encounter it again Danger can also be dealt with.
Attack and defense rely on spiritual weapons, talismans, and spells.Although it broke the formation in the end, it was also seriously injured.
If the two of them leave, the blood bats may divide their forces and interfere with others attacking Shimen.These wind wolves in front of him are difficult to deal with, let alone the gray bearded rat You are not afraid of the Gale Wolf alone, because it is best to deal with a single kind of monster.
Lan Yan on the right is slightly older, but his aura is stronger than the others.Although Qiu Mingxi was just a casual cultivator, he still had ways to save his life.
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According to their speculations, Qingyang was definitely not a match for the one eyed dragon Leng Yu.The puppet was destroyed and its value was greatly reduced.
After that, Qingyang worked hard and refined all the remaining materials into elixirs, and finally obtained a total of more than a dozen longevity elixirs.
Holding her breath, she quickly entered the nine headed monster, and then.However, if you look closely, you will find that the opponent s body is more than a circle smaller.
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Because the other party is famous for marriage alliances, any force may have relatives of the other party.At this time, Zhao Hao also read the opponent s attributes.
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s tone was serious.A dozen dark knights suddenly accelerated and rushed towards Freya, who was recovering from some injuries.
Yeah The little fangirl left quickly. It can be said that the Baihua Club came out in full force this time, so they needed to gather and prepare in advance.As for the military units that will go into battle, Zhao Hao finally selected them.
a couple of https://tannoorgrill.com/knowledge/gummies-en-iahm0-hillstone-hemp-cbd-gummies-reviews-a-natural-yspv/
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Before the age of gods came, he was probably the player who knew these existences best among the players.
